- Date
- 12/13/2025
- Report number
- 00448428-AP-400410
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
- Findings
- Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, on or about December 13, 2025, Alleged Perpetrator 2 (AP2) did not follow proper procedure for medication storage and management. Bottles of medications were left unattended in the AV's room, and the AV took two pills placing the AV at risk of harm. AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.